Civic Intelligence

Path Inc Workers' Compensation Self-Insurance Trust

EIN 23-7870577 • 501(c)3 • Philadelphia, PA

Profile

The trust was established for the exclusive purpose of providing a source of funds and maintaining adequate reserves for the payments of worker's compensation benefits and associated claims expense incurred by path (people acting to help), inc.

8220 Castor AvePhiladelphia, PA 19152

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

98th percentile

9.04x

Higher debt load relative to assets than 98% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Liabilities / Revenue

94th percentile

0.77x

Higher debt load relative to revenue than 94% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Net Margin

93rd percentile

62%

Higher net margin than 93% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

20th percentile

-41%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

14th percentile

-57%

Faster revenue growth than 14% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$22,980

Down $16,056 (-41%) from 2021

Liabilities

Down

$207,721

Down $183,100 (-47%) from 2021

Net Assets

Up

-$184,741

Up $167,044 (+47%) from 2021

Revenue

Down

$268,855

Down $355,946 (-57%) from 2021

Expenses

Down

$101,811

Down $639,376 (-86%) from 2021

Net Income

Up

$167,044

Up $283,430 (+244%) from 2021

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0-$500KAssets 2011: $622,944Liabilities 2011: $131,342Net Assets 2011: $491,6022011Assets 2012: $698,466Liabilities 2012: $79,241Net Assets 2012: $619,2252012Assets 2013: $470,342Liabilities 2013: $142,538Net Assets 2013: $327,8042013Assets 2014: $408,792Liabilities 2014: $96,585Net Assets 2014: $312,2072014Assets 2016: $277,619Liabilities 2016: $103,213Net Assets 2016: $174,4062016Assets 2017: $174,383Liabilities 2017: $151,958Net Assets 2017: $22,4252017Assets 2018: $94,697Liabilities 2018: $116,185Net Assets 2018: -$21,4882018Assets 2019: $10,443Liabilities 2019: $85,710Net Assets 2019: -$75,2672019Assets 2020: $0Liabilities 2020: $235,399Net Assets 2020: -$235,3992020Assets 2021: $39,036Liabilities 2021: $390,821Net Assets 2021: -$351,7852021Assets 2022: $22,980Liabilities 2022: $207,721Net Assets 2022: -$184,7412022

Highlighted filing

2022

Assets$22,980
Liabilities$207,721
Net Assets-$184,741

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KExpenses 2011: $113,4482011Expenses 2012: $67,2472012Expenses 2013: $386,2212013Revenue 2014: $114,850Expenses 2014: $130,447Net Income 2014: -$15,5972014Revenue 2016: $139,877Expenses 2016: $231,334Net Income 2016: -$91,4572016Revenue 2017: $95,247Expenses 2017: $247,228Net Income 2017: -$151,9812017Revenue 2018: $170,702Expenses 2018: $214,615Net Income 2018: -$43,9132018Revenue 2019: $95,305Expenses 2019: $149,084Net Income 2019: -$53,7792019Revenue 2020: $299,360Expenses 2020: $459,492Net Income 2020: -$160,1322020Revenue 2021: $624,801Expenses 2021: $741,187Net Income 2021: -$116,3862021Revenue 2022: $268,855Expenses 2022: $101,811Net Income 2022: $167,0442022

Highlighted filing

2022

Revenue$268,855
Expenses$101,811
Net Income$167,044

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.23$2.08$1.85$2.69$1.02$1.67
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.39$3.91$3.52$6.25$7.41$1.16
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$2.35$2.35$2.99$4.59$1.60
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.10$0.86$0.75$0.95$1.49$0.54
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.95$1.16$0.21$1.71$2.15$0.44
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.74$1.52$0.22$0.95$2.47$1.52
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.78$1.03$1.74$1.40$2.31$0.91
2014Detailed filing. Detailed filing data is available for this year.$4.09$0.97$3.12$1.15$1.30$0.16
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.70$1.43$3.28$3.86
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.98$0.79$6.19$0.67
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.23$1.31$4.92$1.13
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jun 1, 2021 to May 31, 2022
Signed
Apr 17, 2023
Return Version
2021v4.2
Gross Receipts
$268,855
Mission and Program Overview

Mission

The trust was established for the exclusive purpose of providing a source of funds and maintaining adequate reserves for the payments of worker's compensation benefits and associated claims expense incurred by path (people acting to help), inc.

Provide a source of funds and reserves for the payments of worker's compensation benefits.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$39,036$22,980▼ $16,056
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-351,785$-184,741▲ $167,044
Total Assets$39,036$22,980▼ $16,056
Liabilities
Accounts Payable and Accrued Expenses$390,821$207,721▼ $183,100
Total Liabilities$390,821$207,721▼ $183,100
Net Assets / Fund Balance
Total Net Assets Fund Balance$-351,785$-184,741▲ $167,044
Total Liabilities and Net Assets / Fund Balance$39,036$22,980▼ $16,056
Compensation and Service Providers

Employees

NameTitleOtherTotal
Jeff BrownDirector (until 1/22)$56,520$56,520

Board Members and Trustees

NameTitle
Mary SparksChairperson
Elizabeth Andl-petkovPresident & CEO
Dottie LynchVice Chairperson
Sherrie LevinDirector
Maryann ParrottiSecretary
Brad Newman EsqTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$254,800
Investment Income
$0
Other Revenue
$14,055
Change in Net Assets
$167,044
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$101,811
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance$75,266--$75,266
Fees for Services Other$23,691--$23,691
Other Expenses$17,180--$17,180
Office Expenses$-14,326--$-14,326
Total Functional Expenses$101,811$0$0$101,811
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

A draft of the 990 is provided to the administrative committee of the board of directors of path, inc., a related entity, for review in order to make recommendations to the board of directors for approval.

Form 990, Part VI, Section B, Line 12C

The board discloses conflicts of interest annually. In addition, individual board members disclose possible conflicts of interest as situations arise which are evaluated by the board to determine conflict of interest. If the board determines that a financial or private conflct of interest exists, the interested person shall be disqualified from voting on all matters related to the business, transaction or arrangement which gave rise to the conflict of interest. The conflict of interest policy does mention family and business relationships as a potential source of conflicts.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents and conflict of interest policy available to the public upon request.

Filing and Contact Details

Filer

Filer Name
PATH INC WORKERS' COMPENSATION
EIN
23-7870577
Phone
2157284594
Address
8220 CASTOR AVE, PHILADELPHIA, PA 19152

Signing Officer

Name
Elizabeth Andl-petkov
Title
President & CEO
Phone
2157284594
Signed
2023-04-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Elizabeth Andl-petkov
Formed
1996
Legal Domicile
Pa
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
5

Preparer

Firm
Baker Tilly US Llp
Address
1570 FRUITVILLE PIKE SUITE 400, LANCASTER, PA 17601
Preparer
Kerri N Bogda CPA
Phone
7177404863
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Admin consulting risk mgmt: program service expenses 23,691. Management and general expenses 0. Fundraising expenses 0. Total expenses 23,691.

Raw XML AppendixShowing 400 of 416 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0452615
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt020825
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt032521
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ELIZABETH ANDL-PETKOV
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT & CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0505961
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION OF THE CEO. THE BOARD OF DIRECTORS ARE ALL INDEPENDENT PERSONS AND HAVE NO PERSONAL RELATIONSHIP TO THE CEO. THE BOARD REVIEWS THE ACCOMPLISHMNETS OF THE CEO, HAS COMPARATIVE COMPENSATION AND BENEFIT DATA, PROVIDED BY AN INDEPENDENT SOURCE, OF CEOS IN A SIMILAR SIZE AND TYPE OF ORGANIZATION. AN INDEPENDENT COMPENSATION CONSULTANT WAS ENGAGED TO RESEARCH AND ANALYZE COMPARATIVE SALARY AND BENEFIT DATA AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS ON A COMPREHENSIVE COMPENSATION PACKAGE. THE CEO IS COMPENSATED FOR THE OPERATIONS OF PATH, INC., PATH GROUP HOMES AND PATH MR HOUSING ASSOCIATES, INC. THE BOARD OF DIRECTORS MEETS IN EXECUTIVE SESSION TO DISCUSS AND DETERMINE THE CEO'S CONTRACT, WHICH IS DOCUMENTED IN THE CORPORATE FILES.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A DRAFT OF THE 990 IS PROVIDED TO THE ADMINISTRATIVE COMMITTEE OF THE BOARD OF DIRECTORS OF PATH, INC., A RELATED ENTITY, FOR REVIEW IN ORDER TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD DISCLOSES CONFLICTS OF INTEREST ANNUALLY. IN ADDITION, INDIVIDUAL BOARD MEMBERS DISCLOSE POSSIBLE CONFLICTS OF INTEREST AS SITUATIONS ARISE WHICH ARE EVALUATED BY THE BOARD TO DETERMINE CONFLICT OF INTEREST. IF THE BOARD DETERMINES THAT A FINANCIAL OR PRIVATE CONFLCT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL BE DISQUALIFIED FROM VOTING ON ALL MATTERS RELATED TO THE BUSINESS, TRANSACTION OR ARRANGEMENT WHICH GAVE RISE TO THE CONFLICT OF INTEREST. THE CONFLICT OF INTEREST POLICY DOES MENTION FAMILY AND BUSINESS RELATIONSHIPS AS A POTENTIAL SOURCE OF CONFLICTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ADMIN CONSULTING RISK MGMT: PROGRAM SERVICE EXPENSES 23,691. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,691.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 11G
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0PATH INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0PATH INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1PATH HOUSING ASSOCIATES INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0237313698
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1222533230
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTHCARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HOUSING
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt08220 CASTOR AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt18220 CASTOR AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0PHILADELPHIA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1PHILADELPHIA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd019152
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd119152
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt039036
IRS990/TotalAssetsEOYAmt022980
IRS990/TotalAssetsGrp/BOYAmt039036
IRS990/TotalAssetsGrp/EOYAmt022980
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0101811
IRS990/TotalFunctionalExpensesGrp/TotalAmt0101811
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0390821
IRS990/TotalLiabilitiesEOYAmt0207721
IRS990/TotalLiabilitiesGrp/BOYAmt0390821
IRS990/TotalLiabilitiesGrp/EOYAmt0207721
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-351785
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-184741
IRS990/TotalOtherCompensationAmt053346
IRS990/TotalProgramServiceExpensesAmt0101811
IRS990/TotalProgramServiceRevenueAmt0254800
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt014055
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0254800
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0268855
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt05
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt039036
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt022980
IRS990/TotReportableCompRltdOrgAmt0509135
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt08220 CASTOR AVE
IRS990/USAddress/CityNm0PHILADELPHIA
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd019152
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ELIZABETH ANDL-PETKOV
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT & CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum02157284594
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-04-17
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PATH INC WORKERS' COMPENSATION
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0SELF-INSURANCE TRUST
ReturnHeader/Filer/BusinessNameControlTxt0PATH
ReturnHeader/Filer/EIN0237870577
ReturnHeader/Filer/PhoneNum02157284594
ReturnHeader/Filer/USAddress/AddressLine1Txt08220 CASTOR AVE
ReturnHeader/Filer/USAddress/CityNm0PHILADELPHIA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd019152
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390859910

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